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and reducing readmissions for high risk medicare beneficiaries. care transition occurs when a patient moves from one health care provider to another setting. nearly 1 out of 5 medicare patients discharged from the hospital, which is approximately 2.6 million seniors, is readmitted within 30 days and costs over 26 billion every year. while hospitals have traditionally been the focal point for efforts it reduce readmissions it is clear there is a continuum of care that impact readmission. by encouraging xhuepts to come and work together, we can improve quality, reduce costs and improve the patient's experience. daas is working with the san francisco transitional care program to forward these goals and maximize independence of seniors and persons with disabilities living in the community to reduce readmissions and of course ultimately reducing institutionalization. the san francisco care program, transitional care program, has been in operation since 2000. it collaborates now with 8 hospitals and 8 community-based organizations. the hospitals that are included in this are the california pa
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